Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,435.17 / $8,479.00 / $20,509.00	Facility		$1,435.17	$8,479.00	$20,509.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,196.00 / $5,944.00 / $13,697.00	Facility		$1,196.00	$5,944.00	$13,697.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $64.40 / $100.00 / $11,793.11	Facility		$64.40	$100.00	$11,793.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $611.00 / $900.00 / $13,577.00	Facility		$611.00	$900.00	$13,577.00
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $20.54 / $20.54 / $20.54	Facility	AS	$20.54	$20.54	$20.54
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $155.25 / $194.44 / $262.49	Professional		$155.25	$194.44	$262.49
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $166.66 / $218.77 / $419.65	Professional		$166.66	$218.77	$419.65
Kaiser Permanente Facility/Professional Professional Modifier 80 Low / Median / High Price $33.99 / $42.87 / $500.00	Professional	80	$33.99	$42.87	$500.00
Kaiser Permanente Facility/Professional Professional Modifier AS Low / Median / High Price $33.99 / $33.99 / $42.87	Professional	AS	$33.99	$33.99	$42.87
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $426.76 / $879.61 / $2,800.00	Facility		$426.76	$879.61	$2,800.00
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $35.94 / $83.87 / $87.96	Facility	AS	$35.94	$83.87	$87.96
Providence Facility/Professional Facility Modifier Low / Median / High Price $174.68 / $225.72 / $352.99	Facility		$174.68	$225.72	$352.99
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $70.92 / $70.92 / $70.92	Facility	80	$70.92	$70.92	$70.92
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $20.54 / $20.54 / $60.28	Facility	AS	$20.54	$20.54	$60.28
United Facility/Professional Facility Modifier Low / Median / High Price $1,055.00 / $4,820.00 / $20,279.00	Facility		$1,055.00	$4,820.00	$20,279.00